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目的探讨经尿道前列腺电切术后的出血原因,并总结其防治对策。方法前列腺电切术患者428例,作为研究对象,其中发生术后出血32例。回顾性分析手术过程及患者的实际病情,探讨术后出血的影响因素,并总结防治对策。结果术后出血患者中,凝血机制异常患者2例,术后剧烈活动2例,电切创面渗血9例,穿刺造瘘口出血7例,静脉窦破裂出血6例,合并症因素5例,其他因素1例,医源性人为损伤为主要影响因素,差异有统计学意义(P<0.05)。结论术者在行前列腺电切术前,应针对手术的可行性进行探讨,术中谨慎、仔细操作,术后判断出血原因并积极治疗,对前列腺电切术治疗效果及降低并发症发生率具有重要意义。
Objective To investigate the causes of bleeding after transurethral resection of prostate and to summarize its prevention and treatment. Methods 428 cases of prostatectomy patients, as the research object, in which 32 cases of postoperative bleeding occurred. Retrospective analysis of the surgical process and the actual condition of patients to explore the influencing factors of postoperative bleeding, and sum up prevention and control measures. Results Among the patients with postoperative hemorrhage, there were 2 patients with abnormal coagulation mechanism, 2 severe postoperative activities, 9 patients with electrosurgical wound bleeding, 7 cases with puncture fistula bleeding, 6 cases with venous sinus rupture, 5 cases with complications, One case of other factors, iatrogenic artificial injury as the main influencing factors, the difference was statistically significant (P <0.05). Conclusion The surgeon in the line of prostate resection, should be for the feasibility of surgery to explore, intraoperative caution, careful operation, postoperative bleeding to determine the cause and active treatment of prostate resection and reduce the incidence of complications with the rate of Significance.